Wolff v. NH Department of Corrections et al

Filing 66

Objection to 64 Objection to Motion filed by Charles Jay Wolff. (Attachments:, # 1 Exhibit 1 - Inmate Request Slips)(mxm)

Case 1:06-cv-00321-PB

Document 66-2

Filed 10/19/2007

Page 1 of 7

INMATE REQUEST SLI P
Submit your request to the Unit Supervisor, Security Lieutenant, or CC/CM . Your Unit Supervisor, Security Lieutenant, or CC/CM will help you resolve the problem or it will be forwarded to the appropriate person . Unit Supervisors, Security Lieutenants, or CC/CM wi ll forward the request, NOT the inmate . Request slips not reviewed by the Unit Supervisor, Security Lieutenant, or CC/CM will be returned to you . V4 IF J Nv/ QAy

TO : Unit Supervisor, Security Lieutenant, or CC/CM DATE : I a' 3` A a O

FROM : l+r1A. WcIP/ t+ttAAiel
Last Name First Name Middle Initial

ID# : ;z y a n
~Aca tiR 1
se 3,A Work/Shift

1ev 7b} D1y11/ sow
Housing Unit

JA- 1018
Pod/Tier/Div . Cell

INMATE REQUEST : G brs DM 6AAt/IV L -

2

AM

v`

VJ

1sW
U 1 A AA W .

S

oUt

V U 1v l

OUT

t A " -# C d fi'r

10 ~t P

vC

G' l 1z

& 4rt(k

T 1 U ft

tlc

j p4 (

,L

(

you need more space, use plain paper . )

TO : A i / , Cy C J~ 31~ t~ D et y ~
FROMt Unit Supervisor, -Security Lieutenant . or CC/CM REMARKS :

DATE :

Staff Signature TO': ~ JtS
Inmate Housing Unit

DATE :

/U

~FROM; REMARKS :

A lM t 'St 1~Ls^
D 4kLhQ 0 t 1 "1 t 1 t1u . . /1n . SIN

~ 7 k1

Y6 ~.

lu /AA
Received By 4 .

~b rr Q 1

Staff Signatur e

White - Offender Records

Yellow - Inmate Pink -'Staff SP-014 (A) REV . 3/98

Case 1:06-cv-00321-PB

Document 66-2

Filed 10/19/2007

Page 2 of 7

DEPARTMENT OF CORRECTIONS STATE OF NEWHAMPSHIR E P .D . Box 14
CONCORD

RECEIVE D
SEP 0 7 2007

O(~
GOVERNOR d

N~1-~

'~

V

0330 1 [ NHSP/M WARDEM61aNEli~ GJ jrJ1N

GRIEVANCE FORM
(See Reverse for Instructions )

(~ oMM~18S~10 R .

1 . Date : t ` S" aU(S 7 2 .GRIEVANT : C~~~1~~5 ~ ~t-Fi~ `~ I A'j0(~

4 . Address: /'~ ~ s P

C a NCo A D, K J~4 b33 vl
V ~'b
E°1 A .n

~

3 . Numb er : a ~~ ~

5 . Brief Description of Grievance : HlI H

14 C .D MA A[Clf ~ A C Y A 1 0

O l ( d>L 14CACrtSTMIx ) Al4tEt A . Mt~IAH~`AD G..~f Ff A ~i s 1,t0t~llr ld MA AttK f tAt S

A It

~`

r

C~C

% O tt~

c

~~,! 8 r "Cl

F a~r A

t U ~rctd

A ua OR

~V apa7 a

-At(,~Ar~a y Ly

l~TC ~A~f~r KEAcid T!-11,~ nA~S~

t~C `rot .n M

s SPnx c , ~

~ itl

ew . .

1 u~ ~l ay 6 lt Y o v 1~ w~f"l ~~5.7~ ,~'~1~1A A .I c If S T.~ c y,~$' nF1l F cftz uc , y ~} k+ tf 1-3 ON o~ A~.Fv T·tp nsA ktci'1Si nature :~'s / w + % r EdAq ikC o w I li ed ta ee n s are l se ac i 4 1 ~lti 3 SThL ~ ~+ a~ ~ ~ . :W fAf Ok rs j G~cv~ a.!=~t .ry .A~ti(I ~ku4~; con3ol,o3
6n Cpu,t'~. ON Tt~- A'~ib~~ DJ~7'F

n,cyJ~tr~ ~~t XA ~.~r A vt ® t k Ti~n
~ t ~-

lt Rlcfi ~~A-C k

J ~ ~ M ~k~~ ~ G T4 a ~y 4 ~ h
,Sil~ ./ .

~

, ~

TO : DIREC O R

~ /ardeRIIAAD M 6~R ~C`D v ate ~ D e ~
1 .9 n h

Director ;s Actio

TO : COMMISSIONER

Date of Commissioner's Action :

Commissioner's Action :

Authentication : FORWARD ALL THREE COPIES . WHITE WILL BE FILED IN OFFENDER RECORD, CANARY TO RESPONDER AND PINK TO GRIEVANT. SP-52

Case 1:06-cv-00321-PB

Document 66-2

Filed 10/19/2007

Page 3 of 7

INMATE REQUEST SLI P
Submit your request to the Unit Supervisor, Security Lieutenant, or CC/CM . Your Unit Supervisor, Security Lieutenant, or CC/CM will help you resolve the problem or it will be forwarded to the appropriate person . Unit Supervisors, Security Lieutenants, or CC/CM will forward the request, NOT the inmate . Request slips not reviewed by the Unit Supervisor, Security Lieutenant, or CC/CM will be returned to you . M ON 4A y

TO : Unit Supervisor, Security Lieutenant, or CC/C M
FROM : MR .1l1[blRl~ Last Name

DATE : D
Middle Initial

OcT t J r-sos l

c 1i A n L V-s
First Name

ID # : aN 3a1
OPAC T /o F !

Housing Unit Pod/Tier/Div . Cell INMATE REQUEST : Q C"

VtJ`l G W

ZA --1n'j2

iSfJA Work/Shif t

t . Hhy e 2 FyFn ,$FrAI 7'tnSP Pon

,

hCC . j c QACren

~

TN . ~ OG

~ n Ttd'E'r `

· TW E T

C~ b o"t E DA Ttdv? Sf-Iou L ~ Z fl~ o1t(t V V kY d A~ 7" A/ b

VC T b

C .

ILANTA T'14 L b TT L p t` A

T'Pt `P E

e

.

rc

E'

Ca!'F u 0,
Inm

(If you need more space, use plain paper .)

ate 91rinIture

~ TO : I}Q .CG'C!a Cfh Ct/, KDWA Mp C/. " f C
FROM : Unit Supervisor, Security Lieutenant . or CC/CM REMARKS : OCT

DATE :
1
J'VQ 4

Staff Signature TO :
Inmate

DATEXI ,
Housing Unit Cell #

e~

FROM : ---Dn 4~ REMARK S

Received B e
W hite - Offender Records Yellow - Inmate Pink - Staff SP-014 (A) REV, 3198

Case 1:06-cv-00321-PB

Document 66-2

Filed 10/19/2007

Page 4 of 7

INMATE REQUEST SLI P
Submit your request to the Unit Supervisor, Security Lieutenant, or CC/CM . Your Unit Supervisor, Security Lieutenant, or CC1CM will help you resolve the problem or it will be forwarded to the appropriate person . Unit Supervisors, Security Lieutenants, or CC/CM will forward the request, NOT the inmate . Request slips not reviewed by the Unit Supervisor, Security Lieutenant, or CC/CM will be returned to you . Tv 6f0A`f

TO : Unit Supervisor, Security Lieutenant, or CC/CM

DATE : 16 -9- aoCQ

FROM :

P4,li .. W 0 l jL P
Last Name

C 1j AAk~V
First Nam e

9
Middle In ta

ID # : MM /),~t~ Sr I a !L /

Sa u rEi

D fyillox-1A ~ 101?

ka s
Work/Shift

Housing Unit Pod/Tier/Div . Cell

TO :

h A-

ll

-1(14Ah Q

.r r

A (~ -

/I

If C 1~

ATE :

FROM : Unit Supervisor, Security Lieutenant . or CC/CM REMARKS : ~D ttva+( ~

Staff Signature

TO :

U-k LFFr aArzf
t

M.GS

DATE :

Inmate Housing Unit Cell #

FROM : ~ · -

,

tvol (k

~v a
rn ~,

/
~~~

,~4 1/
Received By

White - Offender Records Yellow - Inmate ,

4/ -

i
i Pink - Sta

narate S~g'rittlu r
SP-014 (A) REV. 3/98

Case 1:06-cv-00321-PB

r

Document 66-2

Filed 10/19/2007

Page 5 of 7

INMATE REQUEST SLI P
Submit this request to the Unit Supervisor, Security Lieutenant, or CC/CM . Your Unit Supervisor, Security Lieutenant, or CC/CM will help you resolve the issue or it will be forwarded to the appropriate person . Unit Supervisor, Security Lieutenant, or CC/CM will be forwarded to you . rHVAmAy

TO : Unit Supervisor, Security Lieutenant, CC/CM DATE· FROM : Ak1Ix .W bLFtt
Last Nam e S13$~~First Name

`ao 'o100 7

~
Middle Initia l

ID # :

143n

C~aNcbhD~ pttd S'pu?t.t ptu~ta~t

IA - 10'~

2
Work/Shift

Facility Housing Unit ~b j) Cell ~+ ·--

INMATE REQUEST : V" 04 D MOA#fLK~ Oi JetiK C-'~POC I Ttl Mp . C P !CIA
0

0

C-

v

F 7kt .. .. . v . ~ EV~ P 0 O O M d #Vill I

.. . __._"

PA

0
.. ... vQ

O

VE

nne
dal

~

U

rt

s

/ t
1r

0 T ~. T~ t1 I~c C

~ GG,
(Ifyo or a f e, p~

t r ~Tr ,ADbtJ t
I TMA /{(q Vffu

1o v A A(V"PAIN

6 In ate St atu r E

TO : bri o
REMARKS :

V pd t tTO M

, C-:

FROM : Unit Supervisor, Security Lidgtenant or CC/CM DO

zu

taff Signature

FROM : Staff Member Name/Office

DATE :

~ Staff S&nature Received By / t--l/lhn"teSignature

White - Offender Records Office Yellow - Inmate Pink - Staff SP-014 (a) Rev . t i/06

Case 1:06-cv-00321-PB
t

Document 66-2

Filed 10/19/2007

Page 6 of 7

INMATE REQUEST SLI P
Submit this request to the Unit Supervisor, Security Lieutenant, or CC/CM . Your Unit Supervisor, Security Lieutenant, or CC/CM will help you resolve the issue or it will be forwarded to the appropriate person . Unit Supervisor, Security Lieutenant, or CC/CM will be forwarded to you . /V1ON~A Y

TO : Unit Supervisor, Security Lieutenant, CC/CM FROM : MR . W OL . = F CFIhIIQcLS `
Last Name First Nam e Middle Initial

DATE

' F1 ` a 00 7

ID #· u 7 r ~

TA41 a a

ai~ n

C61,Jc

A(tj

SeU j a plvrsra N IA--ic
O D Celt

Facility Housing Unit

Work/Shift

0 IM0 aP(L.1 U NMA' E REQUFST: 0 QS1~~C-~T~J

G0

f t T R V IE AV

L t TT LE

/KY S Tt9NCAt^ 14- Z bo K'OT . _
o !K

M
mp .
XA l

t

1Tt

G

rr

r·-t,- NIJ VKFOATI

n_
~ nr ate Sig at

~

V

(If y o t p~d more space, use plain paper .) O

TO : D ,I`

L P , C t & E N LUN4 U IM

~

b Ya A I

DATE :

FROM : Unit Supervisor, Security Lieutenant or CC/CM REMARKS :

-Steff Sigrrut7ire D~ ,~ FROM : Staff Member Name/Office REMARKS : DATE :

Z
1 G~/h fA

a .{ ~~-~ ~j~ / G, ,~
_

10 .:

141~L

0

~
I

7fSinature
/ ~ jJ ~/ . ni . ionntllro

5.

White - Offender Records Office Yellow - n ate

Pink - Staff

G°~`i"

I - SP-014 (a) Rev . 11/0 6 / /2''6v ". . 1 t~o ~

Case 1:06-cv-00321-PB

Document 66-2

Filed 10/19/2007

Page 7 of 7

INMATE REQUEST SLI P
Submit this request to the Unit Supervisor, Security Lieutenant, or CC/CM . Your Unit Supervisor, Security Lieutenant, or CC/CM will help you resolve the issue or it will be forwarded to the appropriate person . Unit Supervisor, Security Lieutenant, or CC/CM will be forwarded to you.

/1tl0~Cb,~~p
?A 4 Calof 2

TO : Unit Supervisor, Security Lieutenant, CC/C M

DATE : ~
~ Middle Initia l
Cet l

FROM : IS R

. W o c. F 1L
Facility

MA Ai,/
Housing Unit P Q )

ID #: ~X3a2
Work/Sht if

Last Name First Nam e

~~1~C0~ D, _I~~j Sa e .7j4 Dtb(S`t #A( -!A ~ 102
E RE

u ST: &nl
)0

F0913 ~-Avlcvz -T
-T d

'a M

t~k~-WW-

ltv

V

t
T

.V

-, FEt O _ ! ; * .~ P 6~ -MW- "

FOAI-NOUA

0 KV-a

~

o_

wo A V . b -K-X" 1 r_ t 1 1
AA Inm DATE :

(© yoqnaed more space, use plain paper.)

e Sifnalfre

TO`:C`l F

REMARKS :

SEP 1 8 2007

Staff Signatur e

FROM : DATE: Staff Member Name/Offic e REMARKS :

Staff Signatur e

Received By

Inmate Signatur e

White - Offender Records Office Yellow - Inmate

Pink - Staff SP-014 (a) Rev. 11l06